Personal Information

Sex *

First Name *

Last Name *

Location

Email *

Verify Email *

Best Contact Number *

Height *

Weight *

in pounds (lbs)

Date Of Birth *

General Information

Marital Status *

Education *

Do you smoke? *

Ethnicity *

Hair Color *

In what religion were you raised? *

Please answer honestly. Spiritual/Other is not an answer.

What is your profession? *

Undergraduate degree and school *

Graduate degree and school *

Do you have children? *

Do you want children? *

Do you have siblings? *

Where does your family live? *

Are your parents still married? *

How are you familiar with Janis and Carly *

If Internet search, what was the search term? *

What was the name of the person who approached you and gave you a card? *

Essay Questions

Where did you grow up? *

Are you well traveled and where? *

What languages do you speak? *

Are you athletic and what is your sport or activity? *

Biography *

Your Photos

Head Shot 1 *

5mb max file size

Body Shot 1 *

5mb max file size

Additional Photo *

5mb max file size

Please enter your Credit Card information below to pre-authorize the $25.00 processing fee. You will only be charged if you are accepted. *

Terms & Conditions:

I certify I am at least 18 years old and acknowledge that all information is actual to the best of my knowledge.

You will be required to pre-process a one-time registration fee of $25.00. You will only be charged if you are accepted and no refunds will be issued under any circumstances.

All fields are mandatory and must be completed. Please confirm you have completely filled out the application, especially providing valid solo head and body shots, otherwise the information entered may be lost.

No Refund Policy

Upon membership enrollment and payment of the one-time non-refundable consultation fee, and fees for any arranged meetings including (but not limited to) "Small Group Meeting with Janis & Carly," "Private Meeting with Carly," "Private Meeting with Janis," "30 Minute Private Meeting with Janis & Carly," and "60 Minute Private Meeting with Janis & Carly," no refunds will be issued under any circumstances.

These fees cover your inclusion in Our Love Sphere and the meetings conducted, without guarantee of a match. The policy remains in effect regardless of the level of service utilization or satisfaction experienced. By enrolling and paying the required fees, you acknowledge and accept this no-refund policy in full.

You can review the full No Refund Policy in full at janisspindelmatchmaker.com/refund-policy/

I accept the Terms and Conditions